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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> "" FOR 0 FIC, USE ONLY /, <br /> ADDRESS OR LEGAL:_'�0 7 7 . <br /> PID: 0`� - /1 ) ',Z 'JJ D- 000) <br /> DESCRIPTION OF WORK: 1 CNN n S 030A.-7-- <br /> ZONING <br /> o0RTZONING REVIEW BY: c�I" DATE APPROVED: S-�Z.�o" Z <br /> BUILDING REVIEW BY: yocab,0._ <br /> DATE APPROVED: S-2c.o - y'Z— <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 4/1-/3 <br /> Fire Department: L L. Post Office: L = School District: n//c <br /> Lot Area: S. 2 la6ites t Width: 6-0 k"/ I •P Depth: yy5- <br /> -/ I4v"L <br /> Survey Submitted: Yes ( No Date of Survey: S ,a(--92_ <br /> Proposed Setbacks : r <br /> Front (Lake) : 1 b0-+- Right Side: '� <br /> Rear ( Street) : I (c,t) - Left Side: / 101-± <br /> Adjacent Structures : Wetland: <br /> Building Height: Def . Hgt. 4/7/4 Peak Hgt. N/4 <br /> Avg. Setback: Lot Cove age: <br /> Existi g Propo-ed <br /> Hardcover: 0-75 ' <br /> 75-250 ' / <br /> 250-500 ' <br /> / , <br /> 500-1000 ' ..._.------'' <br /> Hardcover Variance •equired: Yes N. D to of Council Approval: <br /> Grading: Staff App oval Date: ; By: Council Approval Date: <br /> 'ij <br /> Septic: Staff App oval Date: B : <br /> Zoning File: # Reso tion Res lution Date: <br /> t <br /> REMARKS (in hou-e) : 1 <br />